The U.S. health care system faces serious problems of high cost, limited access, unequal treatment, and inadequate health protection. Though these problems have persisted for decades and various reforms have been attempted, the overall impact of reform efforts has been only modest. This paper examines potential types of reform and the history of reform efforts. Causal-loop diagrams are presented which together comprise a theory to explain what created the set of problems that exist and why efforts at reform have largely failed. Different philosophical bases for reform and the need for an eclectic approach are discussed, and a sequential “bootstrapping” approach to comprehensive reform is outlined. The diagrams and discussion of this paper are intended as a starting point for further collaborative work on health care reform among system dynamics practitioners and health policy experts, leading to simulation modeling and further insights.

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Date created

• 2005 July 17-2005 July 21

Type

• Document

Processing Activity

• Processing documentation available at: https://wiki.albany.edu/display/SCA/Processing+Ingested+Digital+Files

License

• Creative Commons BY-NC-ND Attribution-NonCommercial-NoDerivs 4.0 International

  
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ITEM CONTEXT

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cc5bb0ac12a5b68b26b1583548898dae

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Part of

3c582e6f5cf305ef0030c7471b499022

Scope and Contents

Part of

23d738ba88f8333bc39725f9cb5bd0b8

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Collection

System Dynamic Society Records

Scope and Contents

Collecting area

• This collection is part of the University Archives